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Chronic Care Management Services

Georgia rates for HCPCS 99490

This covers time spent by a care team coordinating and managing the ongoing care of a patient with two or more chronic health conditions, outside of a regular office visit. It typically includes tasks like medication review, care coordination between providers, and check-ins to keep a patient's chronic conditions well managed.

Rates data updated July 2026.

How much does Chronic Care Management Services cost?

$50.12

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $69.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$36.31 to $63.10
FacilityA hospital or hospital-owned outpatient department$69.18$32.36 to $75.86

How much rates vary

Facilitymedian $69 · 10th to 90th $25 to $76Professionalmedian $50 · 10th to 90th $28 to $93
$20$50$100facility $69professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$69.18
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$51.29
Typical High
$95.50
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$63.10
Median
$66.07
Typical High
$87.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$69.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$47.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$54.95
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$44.67
Typical High
$97.72

Where Georgia sits

The same service costs 2.5 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Georgia· 15th of 51

$50.12

MN $89.13VT $36.31

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.